Comparison of the effect of threaded headless compression cannulated screw and anatomical plate in the treatment of triplane fracture of distal tibia in juvenile
MA Zhilin1 QIAO Guoyong1▲ FENG Wenfang2 DUAN Xiaowei3 CHEN Xinzhi1 ZHANG Yongtao1 NIU Jing4 LIU Zhichun5
1.The Second Department of Orthopedics, Affiliated Hospital of Hebei Engineering University, Hebei Province, Handan 056002, China;
2.Department of Trauma Emergency, Handan Central Hospital, Hebei Province, Handan 056002, China;
3.Department of Neurosurgery, Handan Central Hospital, Hebei Province, Handan 056002, China;
4.Department of Ultrasound, Affiliated Hospital of Hebei Engineering University, Hebei Province, Handan 056002, China;
5.Department of Hepatological Surgery, Hebei Petro China Central Hospital, Hebei Province, Handan 065000, China
Abstract：Objective To evaluate the effect of threaded headless compression cannulated screw and anatomical plate in the treatment of triplane fracture of distal tibia in juvenile. Methods A total of 48 juvenile patients with triplane fracture of distal tibia treated in the Department of Orthopedics, Affiliated Hospital of Hebei Engineering University from January 2017 to June 2020 were selected. According to patients’ wishes, 24 patients treated with threaded headless compression cannulated screw were selected as the study group, and 24 patients treated with anatomic plate fixation were selected as the control group. The incision length, operation time, the amount of intraoperative blood loss and postoperative blood loss were compared between the two groups. The healing time, postoperative time to ground, visual analogue scale (VAS) score and the necrosis rate of skin flap were compared between the two groups. The incidence of adverse reactions was compared between the two groups, and the improvement of joint function was compared between the two groups. Results The incision length and operation time in the study group were shorter than those in the control group, and the amount of intraoperative blood loss and postoperative blood loss in the study group were less than those in the control group, with statistical significance (P ＜ 0.05). The healing time and postoperative time to ground of the study group were shorter than those of the control group, with statistical significance (P ＜ 0.05). There was no significant difference in VAS score and necrosis rate of skin flap between the two groups (P ＞ 0.05). Both groups had slight limb swelling after operation, and no serious adverse reactions occurred in both groups. The improvement rate of joint function in the study group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion In the treatment of distal tibial fracture, threaded headless compression cannulated screw has less trauma, less bleeding, better protection of periosteum, faster fracture healing, and more conducive to the recovery of joint function. Although both schemes have better anatomical stabilization, threaded headless compression cannulated screw has more advantages and is worthy of promotion.
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